Individual
ELAINE NABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11022 SANTA MONICA BLVD STE 370, LOS ANGELES, CA 90025-7532
(310) 963-0122
Mailing address
546 MORENO AVE, LOS ANGELES, CA 90049-4839
(310) 963-0122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022899-1
NY
103T00000X
Psychologist
PSY31018
CA
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022899-1
NY STATE PSYCHOLOGY LICENSE
NY
01
—
PSY31018
CA STATE PSYCHOLOGY LICENSE
CA
Enumeration date
05/14/2014
Last updated
05/29/2020
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